Hand Plastic Surgery in Tunisia
The hand surgeon is a surgeon who supports hand injuries, its skeleton, its engines (muscles and tendons), its nerves and vessels, which must be capable of repair and coverage.
This technique is now applicable to the majority of cases, it avoids the open palm of the hand and allows optimal recovery
- Carpal tunnel syndrome results in a sensation of "ants" in the fingers, frequently associated with back pain in the arm.
- Signs of this disease often hamper sleep.
- All of this is explained by the suffering of the median nerve (main nerve of the hand) that goes together with the tendons of the fingers, under a ligament in a very tight tunnel (called the carpal tunnel). This tunnel is located at the bottom of the palm.
- This suffering that is often favored by manual activities, must be confirmed by a test called electromyogram (EMG), this measure by small bites, the speed of the electric current flowing through the nerves.
- Based on the results of the EMG should be considered:
- Either infiltration of cortisone in the wrist, most often delaying the operation a few months or years; transiently decreasing nerve inflammation that is clamped in the channel.
- Either a wrist splint positioned at night, reduces discomfort and "ants".
- Either an operation that is the only definitive treatment.
- The goal of intervention is to free the nerve from its tunnel by cutting a ligament (this section is of no consequence in the long run).
- endoscopic technique allows, in camera, and easing up the surgical procedure, to recover the function of the hand as quickly as possible.
- The incision on the skin about 1 cm.
- Signs of the disease disappear very quickly, often on the evening of surgery.
- Admission to the clinic is in the morning and exit in the late afternoon.
- Two sutures are absorbable and therefore fall only after 15 days to 3 weeks.
- No immobilization cast or splint and no rehabilitation is required.
- A work stoppage is useful depending on the type of work: it can range from 2 days to a month depending on the case.
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